“…Clearly, additional tools or modifications to existing tools are needed to more accurately assess fracture risk and inform interventions to decrease risk among PAH. DXAmeasured body composition, including visceral adipose tissue and total lean mass (as a proxy of sarcopenia) are not routinely available in most clinical settings, though may improve prediction of fracture [17][18][19]. Notably, since 2014, the 7th EACS guidelines have provided additional guidelines for addressing overall fracture reduction [3].…”